NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1104897032 M.D.
Verify on CMS → Nikhil Patel, M.D.
Gastroenterology Physician in Martin, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
332
Medicare Part D claims · 108 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.2/100
▲ 10 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nikhil Patel, M.D. reported a CMS MIPS final score of 93.2/100 - above the 83.1 national average - and filed 332 Medicare Part D claims in 2023.
- 93.2/100
- MIPS score · +10 vs avg
- 332
- Part D claims, 2023
- 92%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Nikhil Patel, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
93 Top 29% higher than 71% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nikhil Patel, M.D. sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nikhil Patel, M.D. writes more Part D claims than 23% of them and scores higher on MIPS quality than 74% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Nikhil Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nikhil Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Nikhil Patel, M.D.?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
332 60% vs specialty avg
MIPS final score
93.2/100 10.1 pts vs avg
Specialty distribution in Tennessee
How Gastroenterology Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Nikhil Patel, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 93.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 93.2/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Nikhil Patel, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 148 MOUNT PELIA RD, Martin, TN, 38237, with a listed phone of (731) 587-5170. NPI 1104897032 was issued on 01/30/2006.
Medicare Part D records for calendar year 2023 show 332 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $27K in drug spend, split 8% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.2/100 for the 2023 performance year (Quality 90.3), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1104897032 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/30/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.157
Final Score
Avg: 83.1
90.2855
Quality
95
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Generic-heavy
Nikhil Patel, M.D. - brand share 8.0%
Gastroenterology Physician average
8% brand-name claims vs 92% generic, on 332 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
332
Total Claims
$27K
Total Drug Cost
108
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 610
- Total Day Supply
- 17,561
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $19K
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 1.11
- Gender Split
- 58% female / 42% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nikhil Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
134 claims
- Dexlansoprazole Dr 28
Dexlansoprazole Dr
28 claims
- Omeprazole 25
Omeprazole
25 claims
- Famotidine 18
Famotidine
18 claims
- Colestipol Hcl 12
Colestipol Hcl
12 claims
- Dicyclomine Hcl 11
Dicyclomine Hcl
11 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 134 |
| Dexlansoprazole Dr Dexlansoprazole | 28 |
| Omeprazole | 25 |
| Famotidine | 18 |
| Colestipol Hcl | 12 |
| Dicyclomine Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Nikhil Patel, M.D. fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Nikhil Patel, M.D.'s 332 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Patel.
Dr. Ahmad Abu-Heija
M.D.
Oak Ridge, TN
Dr. Linas Adams
MD
Morristown, TN
Dr. Uchenna Agbim
MD
Memphis, TN
Dr. Nazneen Ahmed
M.D.
Memphis, TN
Dr. Abdullah Al-Rashdan
M.D.
Memphis, TN
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Nikhil Patel, M.D.'s specialty? ▼
Nikhil Patel, M.D. specializes in Gastroenterology Physician and practices in Martin, Tennessee. Credentials: M.D..
How much does Nikhil Patel, M.D. prescribe under Medicare Part D? ▼
In 2023, Nikhil Patel, M.D. wrote 332 Medicare Part D claims totaling $27K in drug costs for 108 beneficiaries.
What is Nikhil Patel, M.D.'s Medicare quality score? ▼
Nikhil Patel, M.D. has a CMS MIPS Final Score of 93.2/100 (Quality: 90.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nikhil Patel, M.D. located? ▼
Nikhil Patel, M.D. is located at 148 MOUNT PELIA RD, Martin, TN, 38237. Phone: (731) 587-5170.
What is Nikhil Patel, M.D.'s NPI number? ▼
Nikhil Patel, M.D.'s National Provider Identifier (NPI) is 1104897032, issued on 01/30/2006.
Does Nikhil Patel, M.D. prescribe more brand-name or generic drugs? ▼
Nikhil Patel, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $8K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Nikhil Patel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nikhil Patel, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Dexlansoprazole Dr, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nikhil Patel, M.D. accept Medicare? ▼
Nikhil Patel, M.D. appears in CMS Medicare data with 332 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nikhil Patel, M.D.'s credentials? ▼
Nikhil Patel, M.D.'s NPI is 1104897032 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.